scholarly journals Determination of Shock Index Reference Values for Prepartum and Early Postpartum Period in Vaginal Delivery: A Prospective, Cross-sectional Study

2021 ◽  
Vol 18 (1) ◽  
pp. 126-131
Author(s):  
İhsan BAĞLI ◽  
İbrahim ANDAN
2021 ◽  
Vol 8 (18) ◽  
pp. 1281-1286
Author(s):  
Sunita Sreegiri ◽  
Phani Madhavi Kajana ◽  
Dhanalakshmi Balaga ◽  
Kesava Lakshmi Prasad Kandipudi ◽  
Devi Madhavi Bhimarasetty

BACKGROUND The status of maternal health in developing countries is often described in terms of maternal mortality alone. Data on maternal morbidity is inadequate as there is no proper reporting system. Improving maternal health and reducing maternal mortality has been the critical concerns of the international community. So, the present study was undertaken to identify and determine the factors associated with early postpartum morbidity among mothers in the rural field practice area of Rural Health Center (RHC), Simhachalam, Visakhapatnam. METHODS A cross-sectional study was conducted among post-partum mothers in the early postpartum period, registered with Rural Health Centre (RHC), Simhachalam, from March 2019 to November 2019 using a pre-tested semi structured questionnaire. Study was conducted among 335 postnatal mothers. List of antenatal mothers registered in RHC Simhachalam was obtained. Antenatal mothers who had their expected date of delivery (EDD) between April 2019 and Aug 2019 and were available in Simhachalam in the post-partum period were contacted after getting information about their delivery from local Multipurpose Health Worker (MPHW). The mothers were visited and interviewed between day 7 and day 10 at their home and information on morbidity was obtained. RESULTS Most common complaints seen in the early postpartum period among the study participants were easy fatigability [214 (63.7 %)], headache in 140 (41.66 %), pedal oedema [131 (39 %)] and facial oedema [27 (8.0 %)]. Almost 67.85 % of mothers were anaemic. Among the obstetric related complaints, lower abdominal tenderness was the most common [196 (58.3 %)] followed by heavy vaginal bleeding [138 (41.1 %)], episiotomy wound swelling / pain [90 (26.8 %)] and postpartum haemorrhage (PPH) [46 (13.7 %)]. Episiotomy wound infection [24 (7.12 %)] and Caesarean wound infection [12 (3.57 %)] were seen together constituting around 10. 7 % among mothers. CONCLUSIONS The incidence of morbidity in the early postpartum period was high with 82.5 % of the mothers presenting with one or more morbidities. KEYWORDS Maternal Morbidity, Early Postpartum Morbidity, Post-Natal Mothers


2021 ◽  
Vol 12 ◽  
Author(s):  
Łucja Bieleninik ◽  
Karolina Lutkiewicz ◽  
Paweł Jurek ◽  
Mariola Bidzan

Introduction: Parental postpartum bonding has been studied by many researchers focusing on maternal bonding. The objective of this study was to examine the psychological and socio-demographic predictors of paternal postpartum bonding in the early postpartum period.Methods: In this cross-sectional study, 131 couples (fathers median age of 32.37 years, SD = 4.59; mothers median age of 30.23 years, SD = 3.90) of newborns from full-term pregnancies were recruited from November 2019 until March 2020. The primary outcome was paternal postpartum bonding as measured by the Postpartum Bonding Questionnaire (PBQ). Secondary outcomes included: maternal and paternal anxiety [with the Generalized Anxiety Disorder (GAD) Assessment]; maternal and paternal stress [with the Parental Stress Scale (PSS)]; maternal depressive symptoms [with the Edinburgh Postpartum Depression Scale (EPDS)]; and maternal and paternal socio-demographic variables as fathers’ presence at childbirth, education level, age, and parental experience.Results: Paternal postpartum bonding was significantly correlated with paternal anxiety (moderate strength), maternal stress (strong correlation), and maternal postpartum bonding. No significant correlations between paternal postpartum bonding, maternal depression symptoms, and maternal anxiety were found. The mediating role of paternal stress in paternal postpartum bonding was proven. Paternal anxiety strengthens paternal stress (b = 0.98). Further, a high level of paternal stress disrupts paternal postpartum bonding (b = 0.41). Results of regression analyses have revelated that maternal infant bonding (p < 0.01) and paternal stress (p < 0.01) are the only predictors of parental postpartum bonding across all included variables. None of investigated socio-demographic variables were associated with paternal postpartum bonding.Conclusion: Notwithstanding limitations, the current findings add to a growing body of literature on paternal postpartum bonding. The results have shown that paternal mental health is related to parental postpartum bonding directly after delivery.Clinical Trial Registration:ClinicalTrials.gov Identifier: NCT04118751.


PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0205792 ◽  
Author(s):  
Matteo Vandoni ◽  
Luca Correale ◽  
Mariangela Valentina Puci ◽  
Christel Galvani ◽  
Roberto Codella ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0206414 ◽  
Author(s):  
Miruts Goshu ◽  
Hagos Godefay ◽  
Fantaw Bihonegn ◽  
Firew Ayalew ◽  
Daniel Haileselassie ◽  
...  

2017 ◽  
Vol 27 (4) ◽  
pp. 28114
Author(s):  
Karenn Haubricht Lemos ◽  
Thays Caroline Patek ◽  
Thais Regina Mezzomo

***Determination of glycemic index and glycemic load of hospital diets served for diabetics***   AIMS: To determine the glycemic index and the glycemic load of diets usually offered by hospitals to patients with diabetes mellitus.   METHODS: A cross-sectional study evaluated menus served to diabetic inpatients of hospitals in the city of Curitiba, Parana, Brazil. Analyzing the menus, we determined the energy content, macronutrients, glycemic index and glycemic load of the meals offered to the patients.    RESULTS: Five general hospitals of the city participated in the study and 10 menus for diabetes were evaluated. The structure of the menus was different mainly in the quantitative supply of fruits and milk. Diets ranged from 1317.6 to 2013.2 kcal, with 18.9 to 27.6% of proteins, 21.9 to 29.4% of lipids, 48.2 to 53.3% of carbohydrates and 24.7 to 33.6 g of fibers. Daily glycemic index ranged from 47 to 57% and daily glycemic load from 81 to 109%.   CONCLUSIONS: All offered diets were hyperproteic, normolipid and normoglicidic. However, inadequate levels of glycemic load were observed in all the evaluated menus, although with adequate levels of glycemic index. It is necessary to review the diet plans elaborated for diabetics, aiming at the best dietary treatment for this population.


2017 ◽  
Vol 28 (5) ◽  
pp. 615-635
Author(s):  
Semra Atasayar ◽  
Sevil Guler Demir

This descriptive, cross-sectional study investigated problems experienced by patients after undergoing a thyroidectomy. The study included 60 first-time, post-thyroidectomy patients diagnosed with benign thyroid disease from a university hospital’s general surgery clinic in Ankara, Turkey. The data were collected in two stages: interviews with patients on the first day following surgery and postoperative follow-up telephone interviews in each of the first 4 weeks following surgery. The follow-ups revealed that patients principally experienced varying degrees of pain and difficulties in connection with work and recreation, communication, body image, and movement, for up to 4 weeks after surgery. These results showed that patients were particularly prone to problems on the first day and during the first week of the postoperative period; therefore, patients should be provided with follow-up telephone interviews to facilitate easier recovery and to help them overcome any problems experienced during the postoperative period.


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